Back to Search
Start Over
Long-term follow-up after endovascular treatment of hepatic venous outflow obstruction following liver transplantation.
- Source :
- Transplant International; Oct2016, Vol. 29 Issue 10, p1106-1116, 11p
- Publication Year :
- 2016
-
Abstract
- Hepatic venous outflow obstruction ( HVOO) is a rare complication after liver transplantation ( LT) associated with significant morbidity and reduced graft survival. Endovascular intervention has become the first-line treatment for HVOO, but data on long-term outcomes are lacking. We have analysed outcomes after endovascular intervention for HVOO in 905 consecutive patients who received 965 full-size LT at our unit from January 2007 to June 2014. There were 27 (3%) patients who underwent hepatic venogram for suspected HVOO, with persistent ascites being the most common symptom triggering the investigation ( n = 19, 70%). Of those, only 10 patients demonstrated either stricture or pressure gradient over 10 mmHg on venogram, which represents a 1% incidence of HVOO. The endovascular interventions were balloon dilatation ( n = 3), hepatic vein stenting ( n = 4) and stenting with dilatation ( n = 3). Two patients required restenting due to stent migration. The symptoms of HVOO completely resolved in all but one patient, with a median follow-up period of 74 (interquartile range 39-89) months. There were no procedure-related complications or mortality. In conclusion, the incidence of HVOO in patients receiving full-size LT is currently very low. Endovascular intervention is an effective and safe procedure providing symptom relief with long-lasting primary patency. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09340874
- Volume :
- 29
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Transplant International
- Publication Type :
- Academic Journal
- Accession number :
- 118355265
- Full Text :
- https://doi.org/10.1111/tri.12817